ࡱ> vxuc HNbjbj >vQbQb \ \ 8$l.zzzz  -------$0R3R .i .zz4t.!!!^zzu,p!-!!Vu(@)zLF( a,.0.(T33)3)L! . .@ N.3\ B : UP-KYCOM SUMMER RESEARCH FELLOWSHIP APPLICATION FORM 2022 Applicant InformationName:  FORMTEXT      Class Year:  FORMTEXT      GPA:  FORMTEXT      Email:  FORMTEXT       Have you received a UP-KYCOM Summer Research Fellowship before? Yes  FORMCHECKBOX  No  FORMCHECKBOX If Yes, which year(s):  FORMTEXT      Primary Mentor InformationName:  FORMTEXT      Title:  FORMTEXT      UP-KYCOM affiliation or home institution:  FORMTEXT      Phone:  FORMTEXT      Email:  FORMTEXT      Fax:  FORMTEXT      Project InformationTitle of the Project:  FORMTEXT      Key words (no more than 6):  FORMTEXT      Performance Site (Room/building, Institution, City, State):  FORMTEXT      Will human or animal subjects be used in the project? Human  FORMCHECKBOX  Animal  FORMCHECKBOX  N/A  FORMCHECKBOX  Note: All personnel must complete the required CITI training prior to participating in the proposed project.Has the required protocol been approved by either IRB or IACUC? Yes  FORMCHECKBOX  No  FORMCHECKBOX If Yes, please provide the protocol #: FORMTEXT      If No, please explain (i.e., review pending or to be submitted):  FORMTEXT      Please list all required training that needs to be completed to conduct the project (please consult with your mentor) and the status for each (completed or will be completed by): e.g., at UP-KYCOM, the Laboratory Safety Training is required for everyone who works in a research laboratory. Note: All training courses must be completed by the date(s) specified below for a fellowship recipient to receive payment. UP-KYCOM Research Training - by (month/day/year) CITI online training modules for research with human subjects or animals (if appropriate) by (month/day/year)  AGREEMENT REGARDING FUNDS RECEIVED BECAUSE OF THIS APPLICATION The undersigned agree: 1. 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To follow all training requirements and related institutional policies when conducting a research project at a selected institution.Applicant Signature: Date:  FORMTEXT      Faculty Mentor (Primary) Signature: Date:  FORMTEXT       Research Proposal  Please refer to Section II-B in  UP-KYCOM SUMMER RESEARCH FELLOWSHIP Application Instructions 2022 . Please use  Times New Roman Font 11 and DO NOT exceed the space provided for each section.Background/Significance and Specific Aims FORMTEXT       Experimental Approach FORMTEXT        FORMTEXT      Time Line of the Project FORMTEXT       Literature Cited FORMTEXT       Thank You!     8G:GGGHbHdHHHHH&I(I*IRITIVI^I`IbIdIxIzI|IIIIIIIIIIIIIIIIIIIѽ|t|ijmh. UhPwh"5 h"5jh. UmHnHujqh. Uh. jh. U hz6hrh}hshr5hr hshrhA?h :Z0JCJaJhA?hr0JCJaJh0JCJaJhhr0JCJaJhhrCJaJ)(I*IVII $Ifgd.  $Ifgd:lkd$$Ifl*+ t0644 laytz6III Jvm $Ifgd.  $Ifgd:kd$$Ifl00f!*!6 t0644 layt~? 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